Foley Catheter Information
Kodi Cathete ya Foley N'chiyani?
Catheter ya Foley ndi catheter yamakono omwe amakhalamo. Amatchulidwa kuti Frederic Foley, dokotala wa opaleshoni yemwe poyamba anapanga catheter , Foley ndi thumba lopanda kanthu lomwe limalowetsedwa m'chikhodzodzo kudzera mu urethra.
Kwa odwala amene sangathe kutulutsa chikhodzodzo chifukwa cha zifukwa zosiyanasiyana zomwe zimakhala ndi kupweteka kwa magazi pamene akuchitidwa opaleshoni kapena vuto la chikhodzodzo palokha, foley amalola kuti mkodzo uzimitse mosalekeza.
Pamene mkodzo umatha kusonkhanitsa m'chikhodzodzo, ndiye kuti umatulutsidwa mukamayambitsa mkodzo, foley amalola kuti nthawi zonse ayambe kuyamwa mkodzo. Mtsuko umasonkhanitsidwa m'thumba ndikutaya ngati momwemo.
Mmene Catheter Yamakono Imagwira Ntchito
Catheter ya Foley imayikidwa mu urethra, chubu yomwe imanyamula mkodzo kunja kwa thupi. Pang'ono ndi pang'ono imakankha urethra mpaka ikafika pachikhodzodzo. Phokoso mukumapeto kwa chikhodzodzo cha chupa amachititsa kuti mkodzo utuluke m'chikhodzodzo, kupyolera mu urethra ndi kunja kwa thupi kulowa mu thumba lachitsulo.
Pamwamba pa foley tubing ikufikira chikhodzodzo, baluni amalowetsedwa ndi madzi osabisa kuti phukusi likhalepo. Catheter ili ndi cholinga chokhalabe kwa maola angapo kapena kupitirira. Nkofunika kuti kathetera ikhale yokha pokhapokha ngati pakufunika, chifukwa chiopsezo cha matenda chimawonjezereka kathetali ikhalapo.
Cathéter silolowa m'malo mwasamalidwe wabwino, komanso sichimalowetsa kawirikawiri kupita kuchipinda.
Foley catheters si oyenerera ngati mankhwala osadziletsa . Mwachitsanzo, odwala omwe amalowa m'malo mwake amakhala ndi catheters asanayambe opaleshoni ndipo nthawi zambiri amakhalabe m'malo kwa masiku angapo atatha opaleshoni ngati sangathe kufika pa bedi popanda kukhala ndi ululu ndipo sangathe kupita kuchimbudzi.
Kulowa kwa Foley
Foley catheters amapezeka kawirikawiri asanayambe opaleshoni, kuti chikhodzodzo chikhale chopanda kanthu panthawiyi. Panthawi yomwe wodwalayo sakudziwa ndipo sakudziwa kufunikira kokodza. Pambuyo pa ndondomekoyi, komabe sizingakhale zotetezeka kuti wodwala ayende. Angakhale odwala kwambiri kuti asasamalire zosowa zawo zamadzibulo kapena dokotala wawo angaganize kuti catheter ndi yabwino kwambiri kuti ayambe kuchira.
Kuyika kwa Foley kumachitidwa ndi namwino, ndipo chikhoza kuchitidwa musanayambe kapena pambuyo poti anesthesia yapatsidwa, koma kawirikawiri isanayambe kutengeka koyamba ngati wodwala akuchitidwa opaleshoni. Mzipatala zimasiyanasiyana pazochitika zawo. Kwa ambiri, kusungidwa kwa catheter yokhalamo kumaonedwa kuti ndi njira yoyenera yopaleshoni yomwe ikuyembekezeredwa kukhala ola limodzi kapena kupitirira; pamene wodwalayo apita ku ICU pambuyo pa opaleshoni; pamene ndondomeko ikuphatikizapo tsamba la mkodzo ; kapena pamene wodwala sangathe kuyenda motsatira ndondomekoyi. Chikwama chokwanira mkodzo chomwe chimaphatikizapo foley chimathandizira mkodzo kuchoka pa opaleshoni ndikukhala m'chipatala.
Catheter imayikidwa pogwiritsa ntchito njira yopanda madzi, yomwe imatanthauza kuti catheter yokhayo ndi yopanda kanthu. Khunguli limakonzedwa ndi njira yothetsera majeremusi ndi magolovesi osabala amavala ndi namwino.
Catheter yophimbidwa ndi mafuta osabala kuti pakhale kuphweka mosavuta ndikupewa kupsa mtima mkati mwa urethra. Njira yoperekera yogwiritsira ntchito ikuthandizira kupewa matenda a urinary (UTIs) , vuto lofala kwambiri lomwe limagwiritsidwa ntchito ndi catheter yamakono .
Kuyika kwa Foley sikuyenera kukhala zopweteka; Ndiponso si zopweteka kukhala ndi malo amodzi. Odwala ena amasonyeza kuti ali ndi Foley m'malo momvetsa chisoni. Catheter ikhoza kusokoneza maganizo anu omwe amafunikira kukopa. Mukhoza kumverera ngati mukufunikira kugwiritsa ntchito chipinda chogona ngakhale kuti catheter imasunga chikhodzodzo chanu chopanda kanthu.
Foley Catheter Care
Katheti ikakhalapo, wodwala akhoza kuyenda, koma ayenera kusamalidwa kuti asatenge chubu kuchoka pamalo. Chinachake chophweka ngati kukwera kapena kupunthwa kungachititse kuti chubu chichotsedwe, choncho chisamaliro chiyenera kutengedwa nthawi iliyonse pamene kathete ilipo.
Kuchotsa catheter popanda kuwonongera baluni sikopweteka kwambiri, kungayambitse kuwonongeka kwa urethra. Kawirikawiri, Foley tubing imatumizidwa ku chifuwa cha wodwala kuti ateteze mwangozi kuchotsedwa ndi kusokonezeka.
Pamene Foley ilipo, ukhondo wabwino ndi wofunika kuti muteteze UTI . Gawo la chubu limene limakhudza thupi liyenera kutsukidwa bwino nthawi yopuma komanso nthawi iliyonse yothira. Kuwonjezera pamenepo, sopo wapadera kapena oyeretsa angagwiritsidwe ntchito pa ziwalo zoberekera pofuna kuchepetsa chiopsezo cha matenda pambuyo pa opaleshoni .
Ngozi za Catheter
Catheter yamakono yosungirako umakonzedwe kuti ikhalebe nthawi yaitali, kuyambira maola mpaka masabata. Kwa odwala ena, catheter imakhala nthawi yayitali, koma izi ndizosawerengeka. Zipatala zambiri zimakhala ndi mapulogalamu ndi ndondomeko zomwe zimafuna kuti catheters achotsedwe mwamsanga kuti athe kuchepetsa chiopsezo chotenga kachilomboka.
Odwala ena amatha kupaleshoni pambuyo pa opaleshoni, zomwe zingapangitse katheta kukhala yofunikira ngakhale kuti wodwalayo sakusowa panthawiyi. Odwala angathenso kusungidwa kumtsinje pambuyo pochotsa khola la Foley.
M'mbuyomu, odwala omwe ali ndi vuto lochedwa latex angakhale ndi vuto la catheters la mitundu yonse, chifukwa nthawi zambiri amakhala ndi latex. Pakali pano, zazikulu zamtundu wa catheters sizikhala ndi chigawo cha latex konse, kuthetsa chiopsezo ichi pafupifupi nthawi zonse. Odwala omwe ali ndi mphamvu zoterezi amafunika kuwadziwitsa gulu lawo lachipatala asanayambe kulandira chithandizo, popeza pali zina zambiri zomwe zingapezeke.
Catheters yoongoka
A Foley ndi catheter yamkodzo yomwe imayenera kukhalapo kwa nthawi ndithu. Catheter ya Foley sayenera kusokonezeka ndi catheter yowongoka , yomwe imayikidwa kamodzi ndi kutayidwa pambuyo pa chikhodzodzo.
Zotsatira:
Medline Plus. Cathatala ya Urinary. Inapezeka mu September, 2011. http://www.nlm.nih.gov/medlineplus/ency/article/003981.htm